Title 26, Insurance Code

Group disability and blanket insurance standard provisions; exceptions. (a) A policy of group disability or blanket disability insurance shall not be delivered in this state unless it contains in substance the following provisions or provisions which in the commissioner's opinion…

Group disability and blanket insurance standard provisions; application and certificate need not be furnished. An individual application need not be required from a person covered under a blanket disability policy or contract, nor is it necessary for the insurer to furnish each p…

To whom benefits are payable. (a) Any benefits under any group or blanket disability policy or contract are payable to the person insured, or to his designated beneficiary or beneficiaries, or to his estate, except that if the person insured is a minor or otherwise not competent …

Additional disability insurance groups; requirements. (a) Group disability insurance offered to a resident under a group disability insurance policy issued to a group other than one described in W.S. 26-19-102 is subject to the following requirements: (i) A group disability insur…

Notice of compensation. (a) The insurer shall distribute to prospective insureds a written notice that compensation shall or may be paid for a program of group insurance which would qualify under W.S. 26-19-102(a)(ii) or 26-19-110, if compensation of any kind shall or may be paid…

Dependent group disability insurance. Except for a policy issued under W.S. 26-19-102(a)(vi), a group disability insurance policy may be extended to insure the employees' or members' or any class of employees' or members' family members or dependents. If the employee or member do…

Continuation of group coverage after termination of employment or membership. (a) A non-COBRA group policy or certificate of insurance on a master policy of a group delivered or issued for delivery in this state on or after July 1, 1995, issued by any insurance company, nonprofit…

Failure to pay premiums; notification. When an employer or trustee of a fund established or adopted by an employer, which employer or trustee is deemed the policyholder of the group disability insurance policy insuring the employer's employees for the benefit of persons other tha…

Multiple employer welfare arrangements; required license; applicability of the Small Employer Health Insurance Availability Act; hearings; rules. (a) A multiple employer welfare arrangement, as defined in W.S. 26-1-102(a)(xliii), intending to operate in Wyoming shall provide to t…

Purpose and scope of article. (a) The purpose of this article is to: (i) Provide for continuance of coverage for all participants when a succeeding carrier's contract replaces a prior plan's benefits; and (ii) Prohibit the imposition of preexisting condition limitations under cer…

Definitions. (a) As used in this article: (i) "Carrier" means an insurance company, nonprofit service corporation, trust, association or other arrangement subject to the jurisdiction of the insurance department; (ii) "Group-type basis" means a benefit plan which meets the followi…

Continuance of coverage where one carrier's contract replaces a plan of similar benefits of another carrier. (a) In those instances in which one (1) carrier's contract replaces a plan of similar benefits of another carrier: (i) The prior carrier remains liable only to the extent …

Violations; penalty. Any person who violates any of the provisions of this article shall be subject to the penalties provided by W.S. 26-1-107.

Short title. This act shall be known and may be cited as the "Small Employer Health Insurance Availability Act."

Definitions. (a) As used in this act: (i) "Actuarial certification" means a written statement by a member of the American Academy of Actuaries or other individual acceptable to the commissioner that a small employer carrier is in compliance with the provisions of W.S. 26-19-304, …

Applicability and scope. (a) This act shall apply to any health benefit plan which provides coverage to two (2) or more employees of a small employer in this state if: (i) Any portion of the premium or benefits is paid by a small employer or if an eligible employee or dependent i…

Restrictions relating to premium rates. (a) Premium rates for health benefit plans subject to this act shall be subject to the following provisions: (i) The index rate for a rating period for any class of business shall not exceed the index rate for any other class of business by…

Renewability of coverage. (a) A health benefit plan subject to this act shall be renewable with respect to all eligible employees or dependents at the option of the employer except in the following cases: (i) Nonpayment of the required premiums; (ii) Fraud or misrepresentation of…

Availability of coverage. (a) Within one hundred eighty (180) days after the commissioner's approval of the basic health benefit plan and the standard health benefit plan developed pursuant to W.S. 26-19-308, but in no case prior to March 31, 1993, every small employer carrier sh…

Small employer carrier reinsurance program. (a) There is hereby created a nonprofit entity to be known as the "Wyoming small employer health reinsurance program" or "WySEHRP." (b) Within sixty (60) days of a written request by the commissioner, each small employer carrier shall m…

Health benefit plan committee. (a) The commissioner shall appoint a health benefit plan committee. The committee shall be composed of seven (7) members, which shall include: (i) The commissioner; (ii) Three (3) representatives of participating carriers; and (iii) One (1) represen…

Periodic market evaluation. The board shall study and report at least every three (3) years to the commissioner on the effectiveness of this act. The report shall analyze the effectiveness of this act in promoting rate stability, product availability and affordability of coverage…

Administrative procedures. The commissioner may issue regulations in accordance with W.S. 26-2-110 for the implementation and administration of the Small Employer Health Insurance Availability Act.

Small employer carrier reinsurance account created. There is created an account in which all money received or collected to support the small employer carrier reinsurance program created pursuant to this act shall be credited and continuously appropriated for the purposes of this…

Small employer carrier reinsurance program assessments; premium tax credit. (a) After each calendar year, the board shall determine the amount of assessment needed to support the small carrier reinsurance program considering all payments made, costs incurred, premiums received an…